Weill Cornell Medicine, 525 East 68ths Street, 10065 New York, NY, United States.
Weill Cornell Medicine, 525 East 68ths Street, 10065 New York, NY, United States.
Gynecol Oncol. 2021 Feb;160(2):492-498. doi: 10.1016/j.ygyno.2020.11.017. Epub 2020 Nov 19.
The COVID-19 pandemic has resulted in unprecedented challenges for people living with cancer, impacting not only physical health but psychological well-being. The psychological response affects the individual as well as the community and can persist long after the outbreak. We aim to assess coping strategies employed by women with ovarian cancer during the COVID-19 pandemic.
Women with a current or prior diagnosis of ovarian cancer completed an online survey which included a query about coping strategies during the COVID-19 pandemic. The survey was distributed from March 30th through April 13, 2020 through survivor networks and social media.
Six hundred and three women visited the survey website during the study period and 555 (92.0%) completed the survey. Four hundred and eight (73.5%) provided information on coping strategies utilized during COVID-19. Among those who responded, the median age was 58 years (range 20-85) and 150 participants (40.8%) were undergoing active cancer treatment. Commonly utilized adaptive coping strategies included emotional support (159, 39.0%), self care (148, 36.3%), hobbies (139, 34.1%), planning (87, 21.3%), positive reframing (54, 13.2%), religion (50, 12.3%) and instrumental support (38, 9.3%). Many participants also relied on avoidance coping strategies including self distraction (111, 27.2%) and substance use (19, 4.7%).
Most ovarian cancer survivors are using adaptive, problem-focused coping strategies during the COVID-19 pandemic, however many are practicing avoidance strategies as well. As coping mechanisms profoundly impact quality of life, oncology providers must assist patients in identifying coping strategies that optimize physical and psychological well-being.
COVID-19 大流行给癌症患者带来了前所未有的挑战，不仅影响了他们的身体健康，还影响了他们的心理健康。这种心理反应不仅影响个人，还影响社区，并可能在疫情爆发后持续很长时间。我们旨在评估 COVID-19 大流行期间卵巢癌患者采用的应对策略。
患有卵巢癌或曾被诊断患有卵巢癌的女性完成了一项在线调查，其中包括一项关于 COVID-19 大流行期间应对策略的问题。该调查于 2020 年 3 月 30 日至 4 月 13 日通过幸存者网络和社交媒体分发。
在研究期间，有 603 名女性访问了调查网站，其中 555 名（92.0%）完成了调查。408 名（73.5%）提供了 COVID-19 期间使用的应对策略信息。在做出回应的人群中，中位年龄为 58 岁（范围 20-85 岁），150 名参与者（40.8%）正在接受癌症的积极治疗。常用的适应性应对策略包括情感支持（159 名，39.0%）、自我保健（148 名，36.3%）、爱好（139 名，34.1%）、计划（87 名，21.3%）、积极重新构建（54 名，13.2%）、宗教（50 名，12.3%）和工具支持（38 名，9.3%）。许多参与者还依赖回避应对策略，包括自我分心（111 名，27.2%）和物质使用（19 名，4.7%）。
大多数卵巢癌幸存者在 COVID-19 大流行期间使用适应性、问题焦点应对策略，但许多人也在使用回避策略。由于应对机制对生活质量有深远影响，肿瘤学提供者必须帮助患者识别能优化身心健康的应对策略。
